The DREAM model's effectiveness in health promotion of AIDS patients in Africa
This study evaluates the effectiveness of a holistic model for treating people living with AIDS in Africa; the model aims to improve knowledge about AIDS prevention and care, increase trust in the health centre, impact behaviour, and promote a high level of adherence to HAART. The study took place i...
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| Veröffentlicht in: | Health promotion international 2009-03, Vol.24 (1), p.6-15 |
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| creator | Magnano San Lio, M. Mancinelli, S. Palombi, L. Buonomo, E. Altan, A. Doro Germano, P. Magid, N.A. Pesaresi, A. Renzi, E. Scarcella, P. Zimba, I. Marazzi, M.C. |
| description | This study evaluates the effectiveness of a holistic model for treating people living with AIDS in Africa; the model aims to improve knowledge about AIDS prevention and care, increase trust in the health centre, impact behaviour, and promote a high level of adherence to HAART. The study took place in the context of the DREAM (Drug Resource Enhancement against AIDS and Malnutrition) programme in Mozambique, designed by the Community of Sant'Egidio to treat HIV patients in Africa. It provides patients with free anti-retroviral drugs, laboratory tests (including viral load), home care and nutritional support. This is a prospective study involving 531 patients over a 12-month period. The patients, predominantly poor and with a low level of education, demonstrated a good level of knowledge about AIDS (more than 90% know how it is transmitted) and trust in the treatment, with a relatively small percentage turning to traditional healers. Overall the patients had a low level of engaging in risky sexual behaviour and a very good level of adherence to HAART (69.5% of the 531 subjects had a pill count higher than 95%). The positive results of the programme's educational initiatives were confirmed with the patients' good clinical results. |
| doi_str_mv | 10.1093/heapro/dan043 |
| format | Article |
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Doro ; Germano, P. ; Magid, N.A. ; Pesaresi, A. ; Renzi, E. ; Scarcella, P. ; Zimba, I. ; Marazzi, M.C.</creator><creatorcontrib>Magnano San Lio, M. ; Mancinelli, S. ; Palombi, L. ; Buonomo, E. ; Altan, A. Doro ; Germano, P. ; Magid, N.A. ; Pesaresi, A. ; Renzi, E. ; Scarcella, P. ; Zimba, I. ; Marazzi, M.C.</creatorcontrib><description>This study evaluates the effectiveness of a holistic model for treating people living with AIDS in Africa; the model aims to improve knowledge about AIDS prevention and care, increase trust in the health centre, impact behaviour, and promote a high level of adherence to HAART. The study took place in the context of the DREAM (Drug Resource Enhancement against AIDS and Malnutrition) programme in Mozambique, designed by the Community of Sant'Egidio to treat HIV patients in Africa. It provides patients with free anti-retroviral drugs, laboratory tests (including viral load), home care and nutritional support. This is a prospective study involving 531 patients over a 12-month period. The patients, predominantly poor and with a low level of education, demonstrated a good level of knowledge about AIDS (more than 90% know how it is transmitted) and trust in the treatment, with a relatively small percentage turning to traditional healers. Overall the patients had a low level of engaging in risky sexual behaviour and a very good level of adherence to HAART (69.5% of the 531 subjects had a pill count higher than 95%). The positive results of the programme's educational initiatives were confirmed with the patients' good clinical results.</description><identifier>ISSN: 0957-4824</identifier><identifier>EISSN: 1460-2245</identifier><identifier>DOI: 10.1093/heapro/dan043</identifier><identifier>PMID: 19171667</identifier><identifier>CODEN: HPINET</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>Acquired Immunodeficiency Syndrome - diagnosis ; Acquired Immunodeficiency Syndrome - drug therapy ; Acquired Immunodeficiency Syndrome - psychology ; Adherence ; Adolescent ; Adult ; AIDS ; AIDS prevention ; Antiretroviral therapy ; Antiretroviral Therapy, Highly Active - utilization ; Community Health Planning ; Delivery of Health Care, Integrated ; Directive Counseling ; Female ; HAART ; Health Education - methods ; Health Education - organization & administration ; Health Knowledge, Attitudes, Practice ; Health promotion ; Health Promotion - methods ; Health Promotion - organization & administration ; Holistic Health ; Home Care Services ; Human immunodeficiency virus ; Humans ; Male ; Models, Organizational ; Mozambique ; ORIGINAL PAPERS ; Patient Compliance - statistics & numerical data ; Preventive programmes ; Program Evaluation ; Prospective Studies ; Young Adult</subject><ispartof>Health promotion international, 2009-03, Vol.24 (1), p.6-15</ispartof><rights>Oxford University Press 2009</rights><rights>The Author (2009). Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org 2009</rights><rights>The Author (2009). Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c512t-bd9954fac58c25799f750c9bee488012516fd22871e45116982b3fb119e73dda3</citedby><cites>FETCH-LOGICAL-c512t-bd9954fac58c25799f750c9bee488012516fd22871e45116982b3fb119e73dda3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/45153066$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/45153066$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>314,776,780,799,1578,27901,27902,30977,57992,58225</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19171667$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Magnano San Lio, M.</creatorcontrib><creatorcontrib>Mancinelli, S.</creatorcontrib><creatorcontrib>Palombi, L.</creatorcontrib><creatorcontrib>Buonomo, E.</creatorcontrib><creatorcontrib>Altan, A. Doro</creatorcontrib><creatorcontrib>Germano, P.</creatorcontrib><creatorcontrib>Magid, N.A.</creatorcontrib><creatorcontrib>Pesaresi, A.</creatorcontrib><creatorcontrib>Renzi, E.</creatorcontrib><creatorcontrib>Scarcella, P.</creatorcontrib><creatorcontrib>Zimba, I.</creatorcontrib><creatorcontrib>Marazzi, M.C.</creatorcontrib><title>The DREAM model's effectiveness in health promotion of AIDS patients in Africa</title><title>Health promotion international</title><addtitle>Health Promot Int</addtitle><description>This study evaluates the effectiveness of a holistic model for treating people living with AIDS in Africa; the model aims to improve knowledge about AIDS prevention and care, increase trust in the health centre, impact behaviour, and promote a high level of adherence to HAART. The study took place in the context of the DREAM (Drug Resource Enhancement against AIDS and Malnutrition) programme in Mozambique, designed by the Community of Sant'Egidio to treat HIV patients in Africa. It provides patients with free anti-retroviral drugs, laboratory tests (including viral load), home care and nutritional support. This is a prospective study involving 531 patients over a 12-month period. The patients, predominantly poor and with a low level of education, demonstrated a good level of knowledge about AIDS (more than 90% know how it is transmitted) and trust in the treatment, with a relatively small percentage turning to traditional healers. Overall the patients had a low level of engaging in risky sexual behaviour and a very good level of adherence to HAART (69.5% of the 531 subjects had a pill count higher than 95%). The positive results of the programme's educational initiatives were confirmed with the patients' good clinical results.</description><subject>Acquired Immunodeficiency Syndrome - diagnosis</subject><subject>Acquired Immunodeficiency Syndrome - drug therapy</subject><subject>Acquired Immunodeficiency Syndrome - psychology</subject><subject>Adherence</subject><subject>Adolescent</subject><subject>Adult</subject><subject>AIDS</subject><subject>AIDS prevention</subject><subject>Antiretroviral therapy</subject><subject>Antiretroviral Therapy, Highly Active - utilization</subject><subject>Community Health Planning</subject><subject>Delivery of Health Care, Integrated</subject><subject>Directive Counseling</subject><subject>Female</subject><subject>HAART</subject><subject>Health Education - methods</subject><subject>Health Education - organization & administration</subject><subject>Health Knowledge, Attitudes, Practice</subject><subject>Health promotion</subject><subject>Health Promotion - methods</subject><subject>Health Promotion - organization & administration</subject><subject>Holistic Health</subject><subject>Home Care Services</subject><subject>Human immunodeficiency virus</subject><subject>Humans</subject><subject>Male</subject><subject>Models, Organizational</subject><subject>Mozambique</subject><subject>ORIGINAL PAPERS</subject><subject>Patient Compliance - statistics & numerical data</subject><subject>Preventive programmes</subject><subject>Program Evaluation</subject><subject>Prospective Studies</subject><subject>Young Adult</subject><issn>0957-4824</issn><issn>1460-2245</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqF0c9v0zAUB3ALgVgZHDmCrB2AS5jt-Ed8rLpBhwpIMNDExXKSZzUliYvtIPjvMaTaJC49-eCP3vc9fRF6SslrSnR5vgW7D_68tSPh5T20oFySgjEu7qMF0UIVvGL8BD2KcUcI5ZzLh-iEaqqolGqBPlxvAV98uly-x4NvoX8ZMTgHTep-wggx4m7EOaJPW5xjBp86P2Lv8PLq4jPe29TBmP6hpQtdYx-jB872EZ4c3lP05c3l9WpdbD6-vVotN0UjKEtF3WotuLONqBomlNZOCdLoGoBXFaFMUOlaxipFgQtKpa5YXbqaUg2qbFtbnqIX89y81I8JYjJDFxvoezuCn6KRspJcaHUUCpXzc8ZRyEipdclEhmf_wZ2fwpivzYYQznXFMypm1AQfYwBn9qEbbPhtKDF_ezNzb2buLfvnh6FTPUB7pw9FZfBqBn7aH531bKa7mHy4xflIURIp73brYoJft_82fDc5SAmzvvlmVl_JWm5u3pl1-QeJhrjs</recordid><startdate>20090301</startdate><enddate>20090301</enddate><creator>Magnano San Lio, M.</creator><creator>Mancinelli, S.</creator><creator>Palombi, L.</creator><creator>Buonomo, E.</creator><creator>Altan, A. 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Doro</au><au>Germano, P.</au><au>Magid, N.A.</au><au>Pesaresi, A.</au><au>Renzi, E.</au><au>Scarcella, P.</au><au>Zimba, I.</au><au>Marazzi, M.C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The DREAM model's effectiveness in health promotion of AIDS patients in Africa</atitle><jtitle>Health promotion international</jtitle><addtitle>Health Promot Int</addtitle><date>2009-03-01</date><risdate>2009</risdate><volume>24</volume><issue>1</issue><spage>6</spage><epage>15</epage><pages>6-15</pages><issn>0957-4824</issn><eissn>1460-2245</eissn><coden>HPINET</coden><abstract>This study evaluates the effectiveness of a holistic model for treating people living with AIDS in Africa; the model aims to improve knowledge about AIDS prevention and care, increase trust in the health centre, impact behaviour, and promote a high level of adherence to HAART. The study took place in the context of the DREAM (Drug Resource Enhancement against AIDS and Malnutrition) programme in Mozambique, designed by the Community of Sant'Egidio to treat HIV patients in Africa. It provides patients with free anti-retroviral drugs, laboratory tests (including viral load), home care and nutritional support. This is a prospective study involving 531 patients over a 12-month period. The patients, predominantly poor and with a low level of education, demonstrated a good level of knowledge about AIDS (more than 90% know how it is transmitted) and trust in the treatment, with a relatively small percentage turning to traditional healers. Overall the patients had a low level of engaging in risky sexual behaviour and a very good level of adherence to HAART (69.5% of the 531 subjects had a pill count higher than 95%). The positive results of the programme's educational initiatives were confirmed with the patients' good clinical results.</abstract><cop>England</cop><pub>Oxford University Press</pub><pmid>19171667</pmid><doi>10.1093/heapro/dan043</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Health promotion international, 2009-03, Vol.24 (1), p.6-15 |
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| language | eng |
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| source | Applied Social Sciences Index & Abstracts (ASSIA); Jstor Complete Legacy; Oxford University Press Journals All Titles (1996-Current); MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection |
| subjects | Acquired Immunodeficiency Syndrome - diagnosis Acquired Immunodeficiency Syndrome - drug therapy Acquired Immunodeficiency Syndrome - psychology Adherence Adolescent Adult AIDS AIDS prevention Antiretroviral therapy Antiretroviral Therapy, Highly Active - utilization Community Health Planning Delivery of Health Care, Integrated Directive Counseling Female HAART Health Education - methods Health Education - organization & administration Health Knowledge, Attitudes, Practice Health promotion Health Promotion - methods Health Promotion - organization & administration Holistic Health Home Care Services Human immunodeficiency virus Humans Male Models, Organizational Mozambique ORIGINAL PAPERS Patient Compliance - statistics & numerical data Preventive programmes Program Evaluation Prospective Studies Young Adult |
| title | The DREAM model's effectiveness in health promotion of AIDS patients in Africa |
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